![]() The area will soon become numb, but you may feel a pulling sensation during the operation. You'll feel an initial burning or pricking sensation when the cardiologist injects the local anaesthetic. This means the area where the cuts are made is numbed, but you remain awake during the procedure. Transvenous implantation is carried out under local anaesthetic, which is given as an injection. ![]() The other ends of the leads are connected to the pacemaker, which is fitted into a small pocket created by the cardiologist between the skin of your upper chest and your chest muscle. They then become lodged in the tissue of your heart. The pacing leads are guided along the vein into the correct chamber of your heart using X-ray scans. The cardiologist will make a 5 to 6cm (about 2 inch) cut just below your collarbone, usually on the left side of the chest, and insert the wires of the pacemaker (pacing leads) into a vein. Medication to make you drowsy will be given through the IV line to keep you relaxed during the procedure. Transvenous implantation is the most common method of fitting a pacemaker or an implantable cardioverter defibrillator (ICD).īefore the procedure, a thin tube called an intravenous (IV) line will be attached to one of your veins. Fitting the pacemaker Transvenous implantation This is a cardiologist who specialises in heart rhythm disorders. If you're being treated in a large heart hospital, the operation will often be carried out by an electrophysiologist. ![]() The pacemaker implantation will be carried out by a heart specialist, known as a cardiologist, who will probably have a special interest in pacemakers. You'll usually be told when you have to stop eating or drinking before surgery during the preoperative assessment. Taking steps to improve your health and fitness, such as stopping smoking if you smoke, eating a healthy diet and exercising regularly, should help speed up your recovery time and reduce the risk of complications. You'll also be asked about any additional medical problems and previous operations you have had, as well as any problems or reactions you or your family have had with anaesthetics. You'll be asked about your general health and heart problems, and how they affect you. Some tests may be performed, including blood tests and an electrocardiogram (ECG). The team looking after you will check you're fit for surgery. You can discuss the operation and ask any questions at the assessment. ![]() Before having a pacemaker fitted, you'll have a preoperative assessment. ![]()
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